How much rates vary
Facilitymedian $263 · 10th to 90th $151 to $501Professionalmedian $347 · 10th to 90th $141 to $1,318
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $3,235.94 | Professional | None | $263.03 | $263.03 | $3,235.94 |
Anthem BCBS Setting Professional Modifier None Typical Low $141.25 Median $251.19 Typical High $1,230.27 | Professional | None | $141.25 | $251.19 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $426.58 Typical High $645.65 | Facility | None | $380.19 | $426.58 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $371.54 Typical High $812.83 | Professional | None | $218.78 | $371.54 | $812.83 |
DeanCare Setting Facility Modifier None Typical Low $125.89 Median $162.18 Typical High $309.03 | Facility | None | $125.89 | $162.18 | $309.03 |
DeanCare Setting Professional Modifier None Typical Low $251.19 Median $288.40 Typical High $426.58 | Professional | None | $251.19 | $288.40 | $426.58 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $234.42 Typical High $1,778.28 | Facility | None | $151.36 | $234.42 | $1,778.28 |
Medica Setting Professional Modifier None Typical Low $199.53 Median $1,122.02 Typical High $1,318.26 | Professional | None | $199.53 | $1,122.02 | $1,318.26 |
Network Health Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $371.54 | Facility | None | $239.88 | $239.88 | $371.54 |
Network Health Setting Professional Modifier None Typical Low $120.23 Median $162.18 Typical High $467.74 | Professional | None | $120.23 | $162.18 | $467.74 |
Prevea360 Setting Facility Modifier None Typical Low $125.89 Median $162.18 Typical High $309.03 | Facility | None | $125.89 | $162.18 | $309.03 |
Quartz Setting Professional Modifier None Typical Low $151.36 Median $302.00 Typical High $630.96 | Professional | None | $151.36 | $302.00 | $630.96 |
Quartz Setting Professional Modifier None Typical Low $426.58 Median $446.68 Typical High $446.68 | Professional | None | $426.58 | $446.68 | $446.68 |
Security Health Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Security Health Setting Professional Modifier None Typical Low $346.74 Median $831.76 Typical High $1,380.38 | Professional | None | $346.74 | $831.76 | $1,380.38 |
The Alliance Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
United Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
United Setting Professional Modifier None Typical Low $169.82 Median $354.81 Typical High $1,122.02 | Professional | None | $169.82 | $354.81 | $1,122.02 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $131.83 Typical High $1,584.89 | Professional | 52 · Reduced service | $131.83 | $131.83 | $1,584.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $645.65 | Professional | 53 · Discontinued | $52.48 | $52.48 | $645.65 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $39.81 Median $45.71 Typical High $69.18 | Professional | 80 · Assistant surgeon | $39.81 | $45.71 | $69.18 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $39.81 Median $45.71 Typical High $69.18 | Professional | 81 · Minimal assistant surgeon | $39.81 | $45.71 | $69.18 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $39.81 Median $45.71 Typical High $69.18 | Professional | 82 · Assistant surgeon, no resident | $39.81 | $45.71 | $69.18 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $34.67 Median $39.81 Typical High $60.26 | Professional | AS · PA/NP assist | $34.67 | $39.81 | $60.26 |
Where Wisconsin sits
The same service costs 5.0 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Wisconsin· 4th of 51
$347
AK $575FL $115
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.